NCLEX-RN
NCLEX RN Medical Surgical Questions and Answers Questions
Extract:
Question 1 of 5
A 42-year-old client with breast cancer is concerned that her husband is depressed by her diagnosis. Which of the following changes in her husband's behavior may confirm her fears?
Correct Answer: D
Rationale: Sleep disturbances are a common symptom of depression, suggesting the husband may be struggling emotionally with his wife's diagnosis.
Question 2 of 5
A 36-year-old female is complaining of increased vaginal dryness during sexual intercourse. She has received chemotherapy in the past and has menopausal symptoms due to ovarian suppression. An appropriate nursing intervention would be to instruct the client on the use of:
Correct Answer: C
Rationale: Water-soluble vaginal lubricants are effective for managing vaginal dryness caused by chemotherapy-induced ovarian suppression, improving comfort during intercourse.
Question 3 of 5
A client with pancreatic cancer is experiencing severe pain and is suspected to have a malignant bowel obstruction. The nurse should anticipate an order for:
Correct Answer: A
Rationale: A nasogastric tube is used to decompress the bowel and relieve symptoms in malignant bowel obstruction, providing palliative relief.
Question 4 of 5
What action should this nurse take to avoid spreading nosocomial infections?
Correct Answer: C
Rationale: Hand hygiene is critical to prevent nosocomial infections. Washing hands before handling the mask ensures the nurse does not contaminate it or transfer pathogens. Removing protective gear or tying strings improperly could increase infection risk.
Question 5 of 5
The nurse is developing a plan to teach a client deep-breathing exercises to expand collapsed alveoli and prevent postoperative atelectasis and pneumonia. Which of the following steps should be included? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Splinting the incision (
A), slow nasal inhalation with pursed-lip exhalation (
B), holding the breath (
C), and repeating 5-10 times hourly (
D) are correct steps for deep-breathing exercises to prevent atelectasis. Closing one nostril (E) is not part of this technique.